The Medicaid billing add-on turns the attendance record your staff already build into prepared 837P claims. It is optional, priced per claim, and designed so the service record and the claim can never drift apart.
What the add-on does
With the add-on enabled, Adult Day Genie prepares 837P professional claims from your attendance records, manages your payers, and runs validation checks before a claim goes out. It replaces the spreadsheet-and-clearinghouse shuffle with a workflow that starts from the same record a reviewer would see.
From attendance to claim
- Staff record attendance during the day — face or manual check-in, with check-out.
- Billing staff review the billable days for the period and the payer for each member.
- The add-on assembles 837P claims from those attendance records.
- Validation flags problems before submission, so fixes happen on your desk, not in a rejection cycle.
Because claims are generated from the append-only attendance history, a billed day always traces back to a recorded visit.
Validation and payer management
Keep each payer's details current in the billing settings — identifiers, plan information, and the members attached to each payer. Validation checks claims against what your payers expect and flags missing or inconsistent information before submission. Payer rules are state- and plan-specific, so the add-on surfaces them rather than hiding them: your billing staff always see what is being submitted and why.
What it costs
The billing add-on costs 1% per claim — one percent of the claim's billed amount, added to your monthly plan. There is no separate module fee, no setup fee, and no long-term contract. Full pricing is published on the pricing page.
What stays your responsibility
- Verifying member eligibility and authorization under your payers' rules.
- Confirming the services billed match the services delivered.
- Final review before submission, and responses to payer questions.